经皮椎体成形术对中老年女性骨质疏松性椎体压缩性骨折临床效果  

Clinical effect of Percutaneous Vertebroplasty on Vertebral Compression Fractures in Middle-aged and Elderly Female Patients with Osteoporotic Vertebral Compression Fractures

作　　者：崔豫宝[1] 黄华溢[1] 王书庆[1] 许攀峰[1] 李文强 张清海 CUI Yu-bao;HUANG Hua-yi;WANG Shu-qing;XU Pan-feng;LI Wen-qiang;ZHANG Qing-hai(Department of Orthopaedics,Hubei Aerospace Hospital,Yuan＇an,Hubei 432000,China;Department of Orthopaedics,Shanghai Changzheng Hospital of the Second Military Medical University,Shanghai 200003,China;Department of Orthopaedics,the First Hospital of Wuhan,Wuhan 430033,China)

机构地区：[1]湖北航天医院骨科,湖北远安432000 [2]第二军医大学上海长征医院骨科,上海200003 [3]武汉市第一医院骨科,武汉430033

出　　处：《临床误诊误治》2018年第9期47-51,共5页Clinical Misdiagnosis & Mistherapy

基　　金：武汉市卫计委科技计划课题(WX14C03)

摘　　要：目的探讨经皮椎体成形术(percutaneous vertebroplasty,PVP)对中老年女性骨质疏松性椎体压缩性骨折(osteoporoticv ertebral compression fractures,OVCF)的临床效果。方法选取我院2016年1月—2017年1月收治的60例中老年女性OVCF,随机分为观察组及对照组,每组各30例。观察组予PVP治疗,对照组行保守治疗,比较两组疼痛程度、下肢功能、生活质量、伤椎体积变化情况。结果与对照组比较,观察组术后1 d、术后1周、术后1个月、术后3个月、术后6个月、术后1年视觉模拟评分、Oswestry功能障碍评分、欧洲骨质疏松症基金会生活质量评分均降低,差异有统计学意义(P<0.05)。观察组术后1年伤椎体积优于对照组,差异有统计学意义(P<0.05)。结论 PVP治疗中老年女性OVCF可早期缓解疼痛,改善关节功能,提高生活质量,减缓脊柱后凸进展。Objective To explore the clinical effects of percutaneous vertebroplasty （PVP） on middle-aged and elderly patients with osteoporotic vertebral compression fractures （OVCF）. Methods Sixty middle-aged and elderly female patients with OVCF treated in our hospital between January 2016 and January 2017 were randomly divided into observation group and control group, with 30 cases in each group. The observation group was treated with PVP, whereas the control group was given conventional treatment. The pain degree, lower limb function, quality of life and the volume of injured vertebrae in the two groups were compared. Results Compared with the control group, visual analogue score （VAS）, Oswestry dysfunction score, and the quality of life by European Foundation for Osteoporosis were all decreased 1 d, 1 wk, 1 month after operation, and 3, 6 and 12 months after operation, and there were significant differences （ P 〈0.05）. The volume of injured vertebrae 1 year after operation was better in the observation group than in the control group, and there were significant differences （ P 〈0.05）. Conclusion In the treatment of OVCF in middle-aged and elderly women, PVP can alleviate the pain at early stage, improve joint function and the quality of life, and slow down the progression of kyphosis

关 键 词：骨质疏松性骨折 骨折 压缩性 经皮椎体成形术 女性 老年人 

分 类 号：R683[医药卫生—骨科学]